Dr Ramen Goel's Bariatric Program
 
 
 
Lap Gastric Bypass Surgery

Bypass Surgery - Lap Gastric Bypass Surgery, Gastric Bypass Surgery India, Gastric Bypass Surgery in India, Gastric Bypass India, Laparoscopic Gastric Bypass

Gastric bypass surgery involves reduction in stomach size leading to early satiety / satisfaction with small quantity of food. Additionally part of stomach & small intestine is bypassed, so that food & digestive juices mix with each other distally. This results in delayed & reduced absorption of nutrients & calories.

Surgical Time*
:
1 - 2 hours
Hospitalisation Period*
:
3 - 4 days

 



Performed by key-hole route or laparoscopically, gastric bypass is considered the gold standard procedure for weight loss. This leads to early, rapid & sustained weight loss in most of the patients.
Special Dietary Requirement
:
Daily mandatory intake of protein with a multivitamin & mineral intake will prevent any possible nutritional deficiency. Iron & Calcium supplements are required as well. Special dietary advice is provided to post-op patients & regular follow up is essential.
Complications
:
The reported incidence of complications is at par with other major surgeries performed on obese. These include –
Operative Mortality – 0.5% (None in our series since 2004) after gastric bypass procedures.
Intra-operative Complications
:
1.4% including bleeding, injury & stapler malfunctioning etc
Early Complications
:
This includes wound infections (1-3%), pulmonary embolism (1%-2%), intestinal leaks (1%-2%), rarely bleeding, bowel obstructions & rarely cardio-pulmonary complications etc
Late Complications
:
These includes gall stone formation, incisional hernia, rarely intractable vomiting, ulcer, intestinal obstruction, weight regain, metabolic sequelae including iron deficiency, B12, Folate deficiencies etc
Weight Loss
:
The average excess weight loss is > 60% after gastric bypass surgery.
Co-morbidity improvement
:
Diabetes
:
Resolution/Improvement in 90%
Hyperlipidemia
:
Resolution in > 90%
Hypertension
:
Resolution is noticed in > 75% patients
Sleep Apnoea
:
Resolved in 93% patients
Diabetes
:

Resolution/Improvement in 80% - 90%

 

 


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